Yousuf Maham, Jalali Uzma, Kehr Shehnaz Imdad
Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi.
J Coll Physicians Surg Pak. 2011 Apr;21(4):245-6.
Cysts of spleen are rare entities. Congenital splenic cysts are even more uncommon comprising of only 10% of benign non-parasitic cysts. We report a case of 22 years old female who presented with history of 2 years abdominal pain and gradual distension. Ultrasound and computed tomography (CT) both were suggestive of splenic cyst. Laboratory tests show thrombocytopenia with platelets count of 97000 per cubic millimeter and anemia with hemoglobin 8.7 gram per deciliter. Serological tests were negative for parasitic infection. Splenectomy was done and the weight of the spleen was found to be 1.5 kilogram. Histopathological findings are consistent with splenic epithelial cyst. The aetiology, diagnostic modalities and treatment options are discussed in the case report.
脾囊肿是罕见的疾病。先天性脾囊肿更为少见,仅占良性非寄生虫性囊肿的10%。我们报告一例22岁女性,有2年腹痛及逐渐腹胀病史。超声和计算机断层扫描(CT)均提示脾囊肿。实验室检查显示血小板减少,血小板计数为每立方毫米97000,贫血,血红蛋白为每分升8.7克。血清学检查寄生虫感染呈阴性。行脾切除术,脾脏重量为1.5千克。组织病理学检查结果与脾上皮囊肿一致。本病例报告讨论了其病因、诊断方法及治疗选择。